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Category Archives: Affordable Care Act

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Corcoran Participates in Cincinnati Edition Panel on Health Insurance Marketplace Open Enrollment

Posted in Affordable Care Act, Medicaid, Presentations

Maureen Corcoran, President of Vorys Health Care Advisors, participated on Monday’s live Cincinnati Edition panel on 91.7, WVXU in Cincinnati.  Maureen and Cara Stewart, Health Law fellow with the Kentucky Equal Justice Center, and Kathryn Keller, Interact for Health Vice President for Policy and External Relations, spent nearly 40 minutes discussing with host Mark Heyne… Continue Reading

So you graduated from high school, now what? It’s time to think about how you’ll get your health insurance.

Posted in Affordable Care Act, Medicaid

As recent high school graduates spend summer dreaming about the beginning of their college careers, it’s unlikely that many are thinking about how they are going to get their health insurance. But they should not throw caution to the wind; according to federal law, college students, like most other adults, are required to have health… Continue Reading

Is One Brand of Medicaid Expansion Waiver Better than Another?

Posted in Affordable Care Act, Health Care, Health Care Reform, Medicaid

Different strokes for different folks as the old adage goes.  This saying, however, is particularly true when you look at the states that have chosen to expand their Medicaid programs under the Affordable Care Act (ACA) through waivers. States do not have to seek a waiver from the federal government in order to expand their… Continue Reading

New York State’s Budget Relies on Federal Medicaid Money –Expecting an Answer from CMS Soon

Posted in Affordable Care Act, Health Care, Health Care Reform, Medicaid

In 2012, New York Governor Andrew Cuomo submitted to the federal Centers for Medicare & Medicaid Services (CMS) an amendment to New York’s existing Partnership Plan 1115 waiver that sought to “redesign” the state’s Medicaid program.  The amendment proposed to reinvest $10 billion of the $17 billion in savings the state anticipated it would achieve… Continue Reading

Informative and Entertaining Look at Health Reform Issues for 2014

Posted in Affordable Care Act, Health Care Reform

In a move previously thought nearly impossible to pull off, Kaiser Health News recently published a list of “8 Things To Know About Obamacare in 2014″ that is both informative and entertaining. This quick read highlights issues about which readers should be informed as they move into the new year, while injecting some levity into the… Continue Reading

Federal Budget Agreement Delays Medicaid DSH Cuts

Posted in Affordable Care Act, Medicaid

Section 1204 of the federal budget agreement, HJ.Res.59, delays the Medicaid Disproportionate Share Hospital (DSH) payment reductions included in the Affordable Care Act (ACA) for two years.  As originally contemplated in the ACA, the DSH reductions were to have become effective in October 2013.  Instead, the budget agreement delays the reductions until October 1, 2015, but doubles… Continue Reading

Vorys Attorney Discusses Confusion About Whether the Anti-Kickback Statute Applies to Qualified Health Plans

Posted in Affordable Care Act

Vorys attorney Robin L. Canowitz recently published an alert discussing potential confusion between a letter released by the U. S. Department of Health and Human Services (HHS) and a memo published a week later by the Centers for Medicare & Medicaid Services (CMS).  In the letter, HHS clarifies that qualified health plans sold in health insurance… Continue Reading

The Impact of the ACA on the Health Insurance Market – By the Numbers

Posted in Affordable Care Act, Health Care Reform

On a recent MSNBC segment, Steve Rattner shared the following slides that illustrate ways in which the health insurance market will be impacted as a result of the Affordable Care Act (ACA). The first reflects how various populations will be affected by the individual mandate to have insurance. The second indicates that most Americans who… Continue Reading

What does the President’s announcement about continuing canceled health insurance policies really mean?

Posted in Affordable Care Act

Responding to the concerns of many Americans regarding a potential cancellation of some health insurance policies, President Obama announced on Thursday that insurance companies can continue to offer for another year some health plans to individuals, families, and small businesses that do not meet the Essential Health Benefits requirements established under the Affordable Care Act… Continue Reading

17 Million Americans to Qualify for Premium Tax Credits; Ohio Has Eighth Most Eligibles

Posted in Affordable Care Act

A new report released by the Kaiser Family Foundation indicates that about 17 million Americans who are currently uninsured or who buy insurance on their own will be eligible for premium tax credits to buy health insurance in the health insurance marketplace beginning in 2014.  As we have discussed in other posts, beginning in 2014,… Continue Reading

The Governor’s Big Play: Pushing Ahead on Medicaid Expansion

Posted in Affordable Care Act, Behavioral Health, Health Care, Health Care Reform, Medicaid

By Sylvia Brown and Former State Senate President Tom Niehaus Anticipation is building as the battle over Medicaid expansion moves to the unlikely arena of the state Controlling Board. On Monday, October 21 at 1:30 p.m., Governor John Kasich will try to make good on his promise to take whatever action within his power to… Continue Reading

More Premium Information for Health Insurance Marketplace Plans Released

Posted in Affordable Care Act, Health Care Reform

The federal government recently released a report detailing premium information for qualified health plans to be sold in those 36 states (including Ohio) in which the U. S. Department of Health and Human Services (HHS) will support or fully run the Health Insurance Marketplace in 2014.  Highlights of the report include the following: Individuals will have an… Continue Reading

900,000 Ohioans to Have Access to Financial Help to Buy Insurance in Marketplace

Posted in Affordable Care Act

This Cleveland Plain Dealer article discusses the impending open enrollment of the Ohio health insurance marketplace and the subsidies that will be available to many individuals purchasing health insurance in the marketplace.  According to the article, more than 900,000 Ohioans will have access to financial help to buy health insurance.  Moreover, Ohio individuals with yearly… Continue Reading

Physician Payment Sunshine Act Sheds Light on Payments Made to Doctors

Posted in Affordable Care Act, Health Care Reform

A little-discussed provision of the Affordable Care Act is making physicians, hospitals and manufacturers in the health care industry reconsider how they do business.  The Physician Payment Sunshine Act requires certain drug, medical device and biological manufacturers to disclose to the Centers for Medicare & Medicaid Services (CMS) any payments or other transfers of value… Continue Reading

Resources Help Illustrate Actual Marketplace Subsidy and Premium Amounts

Posted in Affordable Care Act, Health Care Reform

This Washington Post blog post does a nice job of demystifying subsidy amounts that will be available to individuals who purchase health insurance in the Marketplace (formarly known as the Exchange), and also references actual premium amounts in the states where such information has been made public.  Additionally, it links to a very helpful Kaiser… Continue Reading

Essential Health Benefits: What are they and who decides?

Posted in Affordable Care Act, Health Care Reform

As we have discussed in previous posts, beginning in 2014, under the Affordable Care Act (ACA), Medicaid plans and small group and individual plans sold inside and outside of the Health Insurance Marketplace must cover a package of 10 categories of items and services known as Essential Health Benefits (EHBs).  These categories include: Ambulatory patient… Continue Reading

Health Insurance Options in 2014

Posted in Affordable Care Act, Health Care, Health Care Reform, Medicaid

In a recent post, we discussed the insurance mandate itself.  That is, the requirement that most people have health insurance beginning in 2014 or face a financial penalty.  We also briefly mentioned the insurance options that will be available to you in order to fulfill this requirement.  They are— Have employer-sponsored insurance Be covered by… Continue Reading

Overcoming A Hurdle: Consumer Understanding Of What The Affordable Care Act Has To Offer

Posted in Affordable Care Act, Health Care Reform

Despite the recent announcement that the requirement for employers to offer health insurance to their employees has been delayed, the federal and state governments are ramping up for the largest open enrollment period in history.  Fueled by the mandate that almost every American have health insurance as of January 1, 2014, millions of previously uninsured… Continue Reading